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Does maternal pre-pregnancy overweight or obesity influence offspring's growth patterns from birth up to 7years? The
Adriëtte J J M Oostvogels1, Michel H P Hof2, Maaike G J Gademan1
1Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Insights
Maternal pre-pregnancy overweight and obesity influence children's growth patterns in weight, height, and BMI. These effects are more pronounced in girls and increase with age, highlighting the importance of a healthy pre-pregnancy weight for optimal child development.
Area of Science:
- Pediatric growth and development
- Maternal health and child outcomes
- Public health and epidemiology
Background:
- Maternal pre-pregnancy overweight is a known risk factor for adverse offspring health outcomes.
- Understanding the impact of maternal weight status on child growth trajectories is crucial for early intervention.
Purpose of the Study:
- To examine how weight, height, and body mass index (BMI) growth patterns from birth to age 7 differ based on maternal pre-pregnancy weight categories (normal, overweight, obesity).
- To investigate potential sex differences in these growth patterns.
Main Methods:
- Prospective multi-ethnic study (ABCD-study) including 3805 mother-child pairs.
- Maternal pre-pregnancy BMI categorized into normal (18.5-25 kg/m²), overweight (25-30 kg/m²), and obesity (≥30 kg/m²).
- Population-specific growth patterns computed using SD-scores for weight, height, and BMI; analyzed with mixed-effects models, accounting for maternal characteristics.
Main Results:
- Children of overweight mothers showed faster weight and BMI growth (boys and girls) compared to normal-weight mothers' children.
- Children of obese mothers exhibited faster height growth (girls only), weight, and BMI growth (boys and girls).
- Growth differences increased with age and were generally more significant in girls.
Conclusions:
- Maternal overweight and obesity significantly impact offspring's weight, height, and BMI growth trajectories.
- The observed effects are more pronounced in girls and amplify as children age.
- Maintaining a healthy maternal weight before pregnancy is essential for promoting optimal offspring growth and development.
Background:
Maternal pre-pregnancy overweight is known to program offspring for adverse health outcomes later in life.
Aims:
To investigate how growth patterns of weight, height and BMI from birth to 7years differ according to maternal pre-pregnancy weight (normal weight, overweight and obesity), with specific attention for sex differences.
Study Design:
Prospective multi-ethnic ABCD-study.
Subjects:
3805 mother-child pairs were included. Self-reported maternal pre-pregnancy body mass index was categorized into: normal weight (18.5-25kg/m2; n=3354), overweight (25-30kg/m2; n=711) and obesity (≥30kg/m2; n=241).
Outcome Measures:
Population-specific growth patterns were used to compute SD-scores for weight, height and BMI (on average 12.7 (SD=2.6) measurements for each child) for term born boys and girls separately. Mixed effect models were fitted to these SD-scores to determine the effect of pre-pregnancy BMI category on postnatal growth, corrected for maternal characteristics.
Results:
Compared to children of mothers with normal weight before pregnancy, children of overweight mothers grew faster in weight and BMI (boys and girls) and children of obese mothers grew faster in height (only girls), weight and BMI (boys and girls) during the first years of life. The differences seemed to increase with age and were in general larger in girls.
Conclusion:
Maternal overweight and obesity impact on offspring's weight, height and BMI growth pattern with increasing differences when children age. Effects were in general stronger for girls. These results suggest that a healthy weight before pregnancy may be beneficial for optimal weight, height and BMI growth in the offspring.
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